Philip James Mirise, DDS

NPI #1245319151 in Franklin, Indiana

Provider Information

NPI Number
1245319151
Entity Type
Individual
Name
Philip James Mirise, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
850 CEDAR LANE
State
Indiana
ZIP Code
46131-1089
Phone
(317) 736-7476

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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